Organization
SPRING VALLEY ORTHOPEDIC AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA ANDREA ESTRADA (OFFICE MANAGER)
(201) 489-9555
Entity
Organization
Contact information
Practice address
6 SPRING VALLEY AVE, HACKENSACK, NJ 07601-3801
(201) 489-9555
(201) 489-9569
Mailing address
6 SPRING VALLEY AVE, HACKENSACK, NJ 07601-3801
(201) 489-9555
(201) 489-9569
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00541200
NJ
207X00000X
Orthopaedic Surgery Physician
25MA06309600
NJ
207X00000X
Orthopaedic Surgery Physician
25MA07819000
NJ
225100000X
Physical Therapist
40QA01525400
NJ
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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